Diabetes Care
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text (PDF)
Right arrow Purchase Article
Right arrow View Shopping Cart
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow Request Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Engelgau, M. M.
Right arrow Articles by Van Vorst, K. A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Engelgau, M. M.
Right arrow Articles by Van Vorst, K. A.
Social Bookmarking
Add to CiteULike   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati  
What's this?

Diabetes Care, Vol 21, Issue 12 2062-2068, Copyright © 1998 by American Diabetes Association

ARTICLES

Use of services by diabetes patients in managed care organizations. Development of a diabetes surveillance system. CDC Diabetes in Managed Care Work Group

MM Engelgau, LS Geiss, DL Manninen, CE Orians, EH Wagner, NM Friedman, JS Hurley, KM Trinkaus, D Shatin and KA Van Vorst
Division of Diabetes Translation, Centers for Disease Control and Prevention, Atlanta, GA 30341-3724, USA. mxel@cdc.gov

OBJECTIVE: To develop a diabetes surveillance system that estimates the prevalence of diabetes and characterizes service use in diverse managed care organizations (MCOs). RESEARCH DESIGN AND METHODS: Computerized inpatient, pharmacy, outpatient, and laboratory records were used to develop an algorithm to identify diabetes patients and to develop surveillance indicators common to the three participating MCOs. Using 1993 data, the availability, specifications, and limitations of various surveillance indicators were determined. RESULTS: An extensive set of diabetes surveillance indicators was identified from the four sources of data. Consistent data specifications across MCOs needed to consider variation in the type of data collected, a lack of documentation on level of coverage, differences in coding data, and different models of health care delivery. A total of 16,363 diabetes patients were identified. The age-adjusted prevalence of diabetes ranged from 24 to 29 per 1,000 enrollees. Approximately one-third of patients with diabetes (32-34%) were taking insulin. The majority had one or more visits to a primary care physician during the year (72-94%). Visits to specialists were less frequent. Ophthalmologists and optometrists were the most commonly used specialists: 29-60% of the patients with diabetes at the three MCOs had visited an ophthalmologist or optometrist. About one-fifth had an overnight hospital stay during the year. CONCLUSIONS: This diabetes surveillance system is a useful tool for MCOs to track trends in prevalence of diabetes, use of health services, and delivery of preventive care to individuals with diabetes. This system may also be useful for health care planning and for assessing use changes after new developments in diabetes care or new quality management initiatives.
Add to CiteULike CiteULike   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati    What's this?


This article has been cited by other articles:


Home page
 ANN INTERN MEDHome page
C. M. Mangione, R. B. Gerzoff, D. F. Williamson, W. N. Steers, E. A. Kerr, A. F. Brown, B. E. Waitzfelder, D. G. Marrero, R. A. Dudley, C. Kim, et al.
The Association between Quality of Care and the Intensity of Diabetes Disease Management Programs
Ann Intern Med, July 18, 2006; 145(2): 107 - 116.
[Abstract] [Full Text] [PDF]

Home page
 ANN INTERN MEDHome page
J. B. Saaddine, B. Cadwell, E. W. Gregg, M. M. Engelgau, F. Vinicor, G. Imperatore, and K. M. V. Narayan
Improvements in Diabetes Processes of Care and Intermediate Outcomes: United States, 1988-2002
Ann Intern Med, April 4, 2006; 144(7): 465 - 474.
[Abstract] [Full Text] [PDF]

Home page
 Diabetes CareHome page
D. A. Helmer, C.-L. Tseng, M. Brimacombe, M. Rajan, N. Stiptzarov, and L. Pogach
Applying Diabetes-Related Prevention Quality Indicators to a National Cohort of Veterans With Diabetes
Diabetes Care, November 1, 2003; 26(11): 3017 - 3023.
[Abstract] [Full Text] [PDF]

Home page
 Diabetes CareHome page
M. R. McClain, D. E. Wennberg, R. W. Sherwin, W. C. Steinmann, and J. C. Rice
Trends in the Diabetes Quality Improvement Project Measures in Maine From 1994 to 1999
Diabetes Care, March 1, 2003; 26(3): 597 - 601.
[Abstract] [Full Text] [PDF]

Home page
 ANN INTERN MEDHome page
J. B. Saaddine, M. M. Engelgau, G. L. Beckles, E. W. Gregg, T. J. Thompson, and K.M. V. Narayan
A Diabetes Report Card for the United States: Quality of Care in the 1990s
Ann Intern Med, April 16, 2002; 136(8): 565 - 574.
[Abstract] [Full Text] [PDF]

Home page
 Arch Intern MedHome page
D. W. Mapel, J. S. Hurley, F. J. Frost, H. V. Petersen, M. A. Picchi, and D. B. Coultas
Health Care Utilization in Chronic Obstructive Pulmonary Disease: A Case-Control Study in a Health Maintenance Organization
Arch Intern Med, September 25, 2000; 160(17): 2653 - 2658.
[Abstract] [Full Text] [PDF]

Home page
 American Journal of Medical QualityHome page
P. L. Hebert, L. S. Geiss, E. F. Tierney, M. M. Engelgau, B. P. Yawn, and A. M. McBean
Identifying Persons with Diabetes Using Medicare Claims Data
American Journal of Medical Quality, November 1, 1999; 14(6): 270 - 277.
[Abstract] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Diabetes Diabetes Care Clinical Diabetes Diabetes Spectrum
Copyright © 1998 by the American Diabetes Association.